ATI RN
ATI Med Surg Exam 2 Questions
Extract:
Question 1 of 5
A nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. The nurse should instruct the client to increase dietary intake of which of the following substances?
Correct Answer: A
Rationale: Iron supports red blood cell production with epoetin alfa. Sodium, potassium, and protein need careful management in CKD.
Question 2 of 5
A nurse is reviewing the BUN and creatinine levels of an older adult client who has chronic kidney disease (CKD). The nurse should expect which of the following findings?
Correct Answer: D
Rationale: BUN 23 mg/dL and creatinine 1.0 mg/dL align with CKD's elevated levels. Other options are normal or incorrectly scaled.
Question 3 of 5
A nurse is teaching a client who has chronic kidney failure about planning a low-protein diet. The client asks, 'Why do I have to be concerned about protein?' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: A low-protein diet reduces uremia by limiting waste buildup. It does not directly affect hyperkalemia, edema, or nitrogenous waste as primarily.
Question 4 of 5
A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?
Correct Answer: B
Rationale: Shellfish allergy suggests possible iodine contrast reaction risk, requiring provider notification. Menstruation, fluid intake, and hematuria are less urgent.
Question 5 of 5
A nurse is providing teaching to a client about completing a creatinine clearance test. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Avoiding rigorous exercise prevents altered creatinine levels, ensuring test accuracy. Collection starts at a set time, lasts 24 hours, and requires cool storage.